what we've done lately.
After commencing arbitration, sb2 recovers $1.6 mm from MCO for two of client’s behavioral healthcare facilities.
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sb2 successfully fends off MCO’s attempt to unilaterally change daily rate for skilled nursing care, saving client approximately $11,000 per day.
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sb2 uses proprietary strategy to recover $917,194.00 from MCO for long time client.
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sb2 qualifies another current resident for Medicaid using CMS Regulations and county’s lack of compliance with them.
08/19/2025
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After an appeal to state appellate court, and subsequently prevailing before an ALJ, sb2 qualifies deceased resident for Medicaid.
08/12/2025
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sb2 uses administrative complaints to fully recover unpaid claims from MCO, even though provider untimely submitted the claims for payment.
08/05/2025
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ALJ agrees with sb2 and reopens resident’s Medicaid application filed in April ’25 based on evidence that resident lacked capacity to assist with her eligibility.
07/29/2025
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sb2 secures priority lien on real property located in the Bahamas after qualifying undocumented migrant for Medicaid.
07/22/2025
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After 6 years of litigation, including two appellate court wins, ALJ orders county to grant resident’s application for Medicaid filed March ’19.
07/15/2025
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After sb2 appeals denial of resident’s application for Medicaid based on defective notice, case worker grants benefits back to date of resident’s admission.
07/08/2025
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sb2 secures conditional Medicaid eligibility for current resident even though significant assets were transferred to third parties for less than fair consideration during the lookback period.
07/02/2025
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Using CMS Regulations, ALJ agrees with sb2 and orders county to reopen resident’s Medicaid application with a retroactive date of September ’24.
06/25/2025
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sb2 amends resident’s QIT to comply with state regulations, and county grants Medicaid benefits without a coverage gap.
06/17/2025
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Probate court agrees with sb2 and orders resident’s current guardian of the estate removed and to prepare an accounting of all financial transactions.
06/10/2025
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